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Home My Public Portal About9614 LAS TUNAS DR_Electrical__ 08 S-A 10.41 25M APPLICATION FOR PERM DEPARTMENT OF BUILDINGOSAN AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER Z /�_ DISTRICT NO. GROUP ZONE PERMIT NO.: NAME L IVI T ^O C�' ADDRESS `••l ti i "ti - i f / U CITY TEL.NO. RECEIVED BY READY FOR DATE ISSUED COUNTY // FIRST INSPECTION j _/H. W CERT. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS `? Z I } 7-11 N R C NUMBER OF OUTLETS ON CIRCUITS LOCALITY ( .A 14c LOCATION BY ROOMSNEARE 1' t _ LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. _ Arte. f- k-f CIRCUIT A B C D E F G H a NAME J C 'C 1 ,f W MAIL 3 ADDRESS O CITY TEL.NO., 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANO�LE$!/�� ICAT� OF, QU CATI PI.I i @LiCI' CIAN.7 1 AM TH@ LEGAi OWNOi OF @ PROPEI J: SCRIBED ABOVE OWNER. CORRECTIONS a z a 0 TOTAL NO. OF OUTLETS ffi APPROVALS NO. OF FIXTURES ffi DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS j TRANS. B WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS E POWER r PERMIT FEE E UTILITY CO.NOTIFIED TOTAL FEEFINAL 'K � 76A663 DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC ��' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT N,O. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS f FIRST INSPECTION CITY TEL. NOS y �f� nr COUNTY LICENSE NO. EXPIRES �`3 ADDRE 9G 5�'� *"`1 +./"/ /�' 14�", .r,....w' PERMIT FEES -ADDRESS NUMBER EACH FEE LOCALITY /-�' ,�//y LIGHT OUTLETS CROBBST. �f Z'7 RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS SO $ MAIL ELEC. RANGES 25 ADDRESS / ,(/� 9^'� /^`�,a .✓/' _, ELEC. HEATERS 25 "�(...-_? 4,.....- TEL. NO. FIXTURES 5 _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LO$ NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW Mvb. HP OVER INC. EACH OF THE RESIDENTIA ROPER 1E-SCRISED ABOVE. V2 & LESS .25SIONATLIRE _ OF f 'C '/2 2 .50 PERMITTEE ---- 2 5 1.DD INSPECTIO RECORD i5 15 1.50 15 513 2.50 — _ SO— 200 _ 5.00 _ 200 500 10.00 J 500 1 000- 1s.00 Z OVER 1000 20.00 (3 M.G. SET/FREQ. CH_ANGER-HP It WELDERS:AC-KVA _ _ O GENERATORS - KW Y TRANSFORMERS - KVA TEMP. MOTORS (75%n OF ORIC.) `- MOVED MOTORS (75% OF CRIB.) --- MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY ,50 FIXTURES POWER TOTAL FEE $ UTILITY CO. NOTIFIED FINAL L 76A663-CE806 9-67 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST 1 s. FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE $ S OWNER RECEPT._ I MAIL ! LIGHT TOTAL FIRST 20 .20 ADDRESS �v( SWITCH_ OVER 20 .10 CITY EL. NO. LIGHTING �TOTAL FIRST 20 .20 CONTRACTOR 16'1FIXTURES OVER 20 .10 ADDRESS / RANGE_DRYER—WTR.HTR._ CITY TEL. NO,/�� ( (')u ST A.COO K_DISP.—F.A.U._ LICENSE NO. /Y Z-- SPACE HTR. AIR COND. I HEREBY ACKNOWLEDGE THAT I HAVE EAD THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FANOTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIZE & TYPE OVER TO SIGNATURE 0 - 1 1.00 OF PERMITTEE IF 0 CL 1 - 10 3.0o DISTRICT NO. GROUP ZONE PROCESSED BY uV 10 - 50 5.00 i �., w 0 50 - 100 10.00 NOTES: V W 100 - 500 15.00 a to SIGN,GAS SIGN AND ONE CIRCUIT 3.00 TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, IN APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING ISSUING FEE 2.00 ,� o , FIXTURES - SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT FEE 1 UTILITY CO.NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL /� T cf TOTAL FEE U(! JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION ( CiC) M.O. CASH PERMIT VALIDATION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ? 9-i-7 WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS.ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800 Lob ) Policy No.�l.1.Y`tUISVI Company V/L� 11)� FOR APPLICANT TO FILL IN JOB a( y� Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESSK14L� u1 Lb ❑ 1 & 2-Family, S Ft. $ — $ LOCALITY e(n Certified copy is filed with the county building inspec- Y. q� ti n depar NEAREST ent. Multi-family Sq. Ft. CROSS ST. y/n Residential Swimming Pools OWNER OR �( V i Date �� Applicant ` 1 FIRM NAME �J 1 CERTIFICATE OF EXEMPTION FROM WR KERS, MAI'Rec Light Sw':_ MAI' SS 1617COMPENSATION INSURANCE s section neenot completed if the work involved b First 20 (Thitid t b p y Total No.— Additional CITY en Tel. No. the permit is for one hundred dollars ($100)or less.) performance of the work for which this PLAN CHECK I certify that in the er P APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS S A rrQV Total No. Additional CITY I IU Tel No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANTS Exemption, you should become subject to the Workers' Range_ Heater—D.W. Compensation provisions of the Labor Code, you must forth- Oven — Dryer — W.M.— ADDRESS with comply with such provisions or this permit shall be Top FAU —W.H. deemed revoked. Hood Fan _Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER g4A6I Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. P SED BY d and Professions Code, and m license is in full force and effect. Power Apparatus 8 Large Appliances C3 r Size &Type HP, KW, KVA, or KVAR (/ U License Number Lic. Class C Up to 1 Incl. FINAL �Qn}2S GI�Yr LOZ1�((f Over 1 to 10 Incl. DATE ^ �/ xi W VALIDATION Contractor Date Over 10 to 50 Incl. (i6 G QFI A W I am exempt under Sec. Over 50 to 100 Inc. N B.&P.C. for this reason Over 100 Z Date: Services, Swbd., MCC& Panelboards , 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. 0 SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors El structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 7044, Business and Professions Code). A 5 8 3 0 A CONSTRUCTION LENDING AGENCY #•° e e •i• 2 1 hereby affirm that there is a construction lending agency for ° e 2550 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE o e e 2 5 5 0 6 Lender's Name ) Q30-86 PERMIT ISSUING FEE V Lender's Address I certify that I have read this application and state that the TOTAL FEE a15 above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mention d property for inspection purposes. SEE REVERSE FOR EXPLANATORY.LANGUAGE �-' t (0 2a-� Signature Permi e . Date Affirm that COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G inSrlire, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB / IZOX Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS ❑ — Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. C Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec 3 Light Sw._ MAIL COMPENSATION INSURANCE ADDRESS First 20 (This section need not be completed if the work involved by Total No. .3 Additional CITY Tel. No. the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in by manner so as to become subject to the War p anon�Ls. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven _ Dryer W.M.— ADDRESS : with comply with such provisions or this permit shall be Top — FAU =W.H. CITY Tel. No.�kfl� deemed revoked. Hood _ Fan _Other_ - LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class (7 (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. P ED BY and Professions Code,and my license is in full force and effect. Power Apparatus & Large Appliances �1 d O Size & Type HP, KW, KVA, or KVAR 157-C V V V License Number_ a/ Lic. Class Up to 1 Incl. FINAL / R: Over 1 to 10 Incl. DATE ��/Z9 K/J VALIDATION U Contractor Tr �'�/�Date 'e'el-2a—fir, Over 10 to 50 Incl U L G W ❑ I am exempt under Sec. Over 50 to 100 Inc. B d_ B.&P.C. for this reason Over 100 Z Date: Services, Swbd., MCC& Panelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits & Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— ;@57pop 1,O A 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY # e • e • • 2 1 hereby affirm that there is a construction lending agency for II c - 39.75 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). v ° o 3 9 7 5 5 PLAN CHECKING FEE Lender's Name ) 0,20-86 PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereb authorize repr tatives of this County to enter upon thea ove- roperty r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date